Janice Lynn Petersen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22018 Issued in CO

Practice address

720 S Colorado Blvd
Ste 455-S
Denver, CO 80246-1904

Phone

(303) 759-1379

Fax

(303) 388-7356

NPI assigned

Nov 12, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740351899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD",
            "address_2": "STE 455-S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "303-759-1379",
            "fax_number": "303-388-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD",
            "address_2": "STE 455-S",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "303-759-1379",
            "fax_number": "303-388-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "JANICE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "22018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE #",
            "identifier": "22018",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Woodford Petersen, M.D.
• Claire Sophia Petersen
• Dale Petersen, DC
• Glenn D Petersen, PA-C
• Jane FS Petersen, MD
• Karen Petersen, S.A.
• Kevin W Petersen
• Scott R Petersen, LCSW, CADC, CAC-III
• Ashley Anne Glazier Petersohn, RDH, MA,BA
• Amanda Peterson, CAT

• Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.